| NPI | 1528636321 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223D0004X Dentist, Dentist Anesthesiologist Speciality (Licence: IL 137.001169) |
| Additional Taxonomies | 122300000X Dentist (Licence: PA DS043187) |
| 122300000X Dentist (Licence: IL 019.033546) | |
| Enumeration Date | 2021-06-16 |
| Last Update Date | 2025-04-02 |